Destiny Bound, LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

DESTINY BOUND, LLC

Doing business as

NWABABIES and Designing HEALTH

Practice address

3825 N Salem Road
Fayetteville, AR 72704

Phone

(479) 409-5479

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Fedosky, CPM, LLMNPI 1528647070

Title

Senior Midwife

Phone

(479) 409-5479

Specialties & licenses 1

Addresses

Other names 1

• NWABABIES and Designing HEALTH Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Fedosky, CPM

  • Health Educator
  • Fayetteville, AR
  • NPI 1528647070

  Midwife

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1427607019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N SALEM ROAD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72704",
            "telephone_number": "479-409-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 N SALEM ROAD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72704",
            "telephone_number": "479-409-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY BOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "FEDOSKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "SENIOR MIDWIFE",
        "authorized_official_telephone_number": "479-409-5479",
        "authorized_official_credential": "CPM, LLM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWABABIES and Designing HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Department of Health and Human Services (Division of Health)
• Department of Health and Human Services (Division of Health)
• Nathan Deschenes
• Designing Health PA (Main Street Medical)
• Kinley Grace Despain
• Janet Kay Devore, APN, MNSC
• Logan Jerald Dewhitt, DPT
• Cynthia Anne Dewitt, LMT, CLT
• Dialysis Centers of Northwest Arkansas LLC (North Hills Dialysis Center)
• Alan L. Diamond, DO

• Midwife in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Midwife in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.